Winter Camp Registration Form

Camp Gan Israel is a camp dedicated to enriching the lives of children from diverse Jewish backgrounds and affiliations through a stimulating camping experience. CGI is part of the largest and fastest growing network of day camps, enjoying a reputation as a pioneer in Jewish camping, with innovative ideas and creative activities, to both provide enjoyment and inspire children to try new and exciting things!

If you have additional children please use the general comments section below.

2. Mother

Mother's info*

First NameLast Name

Cell Phone*

Area CodePhone Number

Work

Area CodePhone Number

E-mail*Primary email

Occupation

Address*

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Father

Father's info*

First NameLast Name

Cell Phone*

Area CodePhone Number

E-mail

Occupation

Address(if different than above)

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

How did you hear of us?

Are the natural parent's of the child/ren Jewish?*

MotherFatherNeither

Did Mother convert to Judaism?

YesNo

3. Emergency Information

Medical InformationAre there any medical conditions/allergies or pertinent information regarding your child, which we should be aware of?

Emergency Contact*other than parent

First NameLast Name

Phone Number*

Area CodePhone Number

Relationship*

Pediatrician & Insurance

First NameLast Name

Phone Number

Area CodePhone Number

Insurance

Policy #

4. Payment Information

Total

$0.00 USD

Payment*

We accept check or cash please pay at the door.

Agreement*

I hereby permit my child/ren to participate in all camp activities and join in camp trips on and beyond camp properties. In case of emergency, I hereby authorize the CGI to have my child taken care of by a physician in any way the situation may call for. I hereby agree to pay the camp fees.